{"title":"A systematic approach to basic chest radiograph interpretation: a cardiovascular focus.","authors":"Jennifer R Watters","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this column, I will provide a general overview to the indications and basic chest radiograph features such as density, views and technical quality. A systematic approach to radiographic interpretation is outlined. This proposed approach follows anatomical structures organized in alphabetical order (airway, bone, cardiac, diaphragm, extras and frame), while considering a range of pathophysiological findings. Common cardiovascular findings reviewed include atelectasis, pneumothorax, pleural effusions, congestive heart failure, pulmonary edema, consolidation and pneumonia. While chest radiography is an important diagnostic tool for monitoring patients, correlation to the patient's clinical assessment is always required.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 2","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32410843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sampling Methods in Cardiovascular Nursing Research: An Overview.","authors":"Damanpreet Kandola, Davina Banner, Sheila O'Keefe-McCarthy, Debbie Jassal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiovascular nursing research covers a wide array of topics from health services to psychosocial patient experiences. The selection of specific participant samples is an important part of the research design and process. The sampling strategy employed is of utmost importance to ensure that a representative sample of participants is chosen. There are two main categories of sampling methods: probability and non-probability. Probability sampling is the random selection of elements from the population, where each element of the population has an equal and independent chance of being included in the sample. There are five main types of probability sampling including simple random sampling, systematic sampling, stratified sampling, cluster sampling, and multi-stage sampling. Non-probability sampling methods are those in which elements are chosen through non-random methods for inclusion into the research study and include convenience sampling, purposive sampling, and snowball sampling. Each approach offers distinct advantages and disadvantages and must be considered critically. In this research column, we provide an introduction to these key sampling techniques and draw on examples from the cardiovascular research. Understanding the differences in sampling techniques may aid nurses in effective appraisal of research literature and provide a reference pointfor nurses who engage in cardiovascular research.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 3","pages":"15-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34620910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impedance Cardiography-Guided Treatment of Hypertension: A Review of the Literature.","authors":"Fadi Khraim, Rodolfo Pike","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Hypertension occurs when regulatory mechanisms fail, resulting in increased cardiac output (CO) and/or increased systemic vascular resistance (SVR). Impedance cardiography (ICG) is a non-invasive technology that measures CO and SVR.</p><p><strong>Objective: </strong>To assess the literature related to the use of ICG in guiding the selection of anti-hypertensive medications in individuals with hypertension.</p><p><strong>Design: </strong>PubMed and Cumulative Index to Nursing and Allied Health Literature databases were searched for pertinent literature. Only English language, primary research reports published between 1990 and 2014 were included.</p><p><strong>Findings: </strong>The literature demonstrated significant reduction of blood pressure among participants who were treated with ICG-guided selection of anti-hypertensive medications when compared to standard treatment.</p><p><strong>Conclusion: </strong>Although the research reviewed is not without limitations (e.g., small sample sizes and small effect sizes), individualized pharmacologic treatment of uncontrolled hypertension based on ICG-obtained hemodynamics seems successful in reducing blood pressure. Further research within the Canadian context that addresses the limitations is warranted.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 4","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34620912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sheila O'Keefe-McCarthy, Michael McGillion, Sioban Nelson, Sean Clarke, Judith McFetridge-Durdle, Judy Watt-Watson
{"title":"Content validity of the Toronto Pain Management Inventory-Acute Coronary Syndrome Version.","authors":"Sheila O'Keefe-McCarthy, Michael McGillion, Sioban Nelson, Sean Clarke, Judith McFetridge-Durdle, Judy Watt-Watson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cardiac pain and/or discomfort arising from acute coronary syndromes (ACS) can often be severe and anxiety-provoking. Cardiac pain, a symptom of impaired myocardial perfusion, if left untreated, may lead to further myocardial hypoxia, which can potentiate myocardial damage. Evidence suggests that once ACS patients are stabilized, their pain may not be adequately assessed. Lack of knowledge and problematic beliefs about pain may contribute to this problem. To date, no standardized tools are available to examine nurses' specific knowledge and beliefs about ACS pain that could inform future educational initiatives.</p><p><strong>Aim: </strong>To examine the content validity of the Toronto Pain Management Inventory-ACS Version (TPMI-ACS), a 24-item tool designed to assess nurses' knowledge and beliefs about ACS pain assessment and management.</p><p><strong>Methods: </strong>Eight clinical and scientific experts rated the relevance of each item using a four-point scale. A content validity index was computed for each item (I-CVI), as well as the total scale, expressed as the mean item CVI (S-CVI/AVE). Items with an I-CVI > or = 0.7 were retained, items with an I-CVI ranging from 0.5-0.7 were revised and clarified, and items with an I-CVI < or = 0.5 were discarded.</p><p><strong>Results: </strong>I-CVIs ranged from 0.5-1.0 and the S-CVI/AVE was 0.90, reflecting high inter-rater agreement across items. The least relevant item was eliminated.</p><p><strong>Conclusions: </strong>Preliminary content validity was established on the TPMI-ACS version. All items retained in the TPMI-ACS version met requirements for content validity. Further evaluation of the psychometric properties of the TPMI-ACS is needed to establish criterion and construct validity, as well as reliability indicators.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 2","pages":"11-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32410844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Relational Approach to Implantable Cardioverter-Defibrillator Generator Replacement: An Integrative Review of the Role of Nursing in Shared Decision-Making.","authors":"Krystina B Lewis, Rosalie Starzomski, Lynne Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Implantable cardioverter defibrillator (ICD) implantation rates are increasing as advances in heart failure and arrhythmia management progress. Consequently, the number of ICD generator replacements is rising and ICD replacement is an opportune time for shared decision-making (SDM). Nurses should have distinct roles and responsibilities in SDM processes.</p><p><strong>Objectives: </strong>To use a relational lens to localize the role of the nurse in SDM, and recommend ways in which nurses can be involved in SDM.</p><p><strong>Methods: </strong>An integrative review of 17 articles was conducted to determine the role of nurses in SDM.</p><p><strong>Results: </strong>Our analysis revealedfour themes that helped us articulate nurse involvement in SDM; knowledge as a basis for SDM, sharing power in the nurse-patient relationship, utilization of decisional support strategies, and communication.</p><p><strong>Conclusion: </strong>Our findings support the participation of nurses in SDM. Nursing implications are offered, specifically for the management of patients facing ICD replacement.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 3","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34620908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The primary prevention of cardiovascular disease: nurse practitioners using behaviour modification strategies.","authors":"Todd Charles Farrell, Lisa Keeping-Burke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) places great financial strain on the health care system and dramatically affects individual quality of life. As primary health care providers, nurse practitioners (NPs) are ideally positioned to advise clients on risk factor and lifestyle modifications that ameliorate the impact of CVD. While the lifestyle targets for CVD prevention are established, the most effective means of achieving these goals remain uncertain. Behaviour modification strategies, including motivational interviewing (MI) and the transtheoretical model (TTM), have been suggested, but neither approach is established as being more efficacious than the other. In this paper, evidence on the effectiveness of the two approaches for modifying smoking, diet, and exercise behaviour are presented, and a recommendation for NP practice is made.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 1","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32202703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Focus group research: what is it and how can it be used?","authors":"Karen L Then, James A Rankin, Elena Ali","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The focus group research method has been used in a variety of settings over the years. The method of using group interviews was described as long ago as 1926. Focus groups have been used by large corporations to gather the public's opinions regarding their products. In the past 20 years the focus group method has been increasingly used in health care research in a variety of settings. Researchers use the focus group method in order to obtain in-depth knowledge concerning attitudes, perceptions, beliefs and opinions of individuals regarding a specific health issue. The purpose of this article is to provide a review of the focus group research method. The authors discuss the process, analysis, advantages and disadvantages of this qualitative method.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 1","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32202704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Links between perceptions of cardiovascular disease and participation in cardiac rehabilitation programs: an exploratory study].","authors":"Sarah Pakzad, Yannick Charette, Paul Bourque","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cardiac rehabilitation programs (CRP) entail beneficial changes for the majority of participants with heart problems. However, only 21% to 41% of those patients participate in such programs.</p><p><strong>Goal: </strong>The goal of this study was to identify modifable and non-modifiable cardiovascular risk factors, as well as perceptions of illness that affect the participation of patients with cardiovascular problems in CRPs.</p><p><strong>Method: </strong>Thirty individuals with a cardiovascular disease participated in this exploratory, quantitative study.</p><p><strong>Results: </strong>The results suggest that the level of education as well as increases in the level of HDL cholesterol (high-density lipoprotein) and of anxiety predict the participation in CRPs. However, the perception of illness was not associated with participation in CRPs.</p><p><strong>Discussion: </strong>The implications of these results are discussed.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"23 4","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32008242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}